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. 2023 Feb 1;12:e40985. doi: 10.2196/40985

Table 3.

List of variables for the follow-up instrument.

Module and measures Variables
Aa

Understanding and communicating (cognition)
  • Difficulty in concentrating on doing something for 10 minutes

  • Difficulty in learning a new task


Getting around (mobility)
  • Difficulty standing for long periods such as 30 min

  • Difficulty in walking a long distance such as a kilometer


Life activities
  • Difficulty in taking care of household responsibilities

  • Difficulty in day-to-day work or school


Participation in society
  • Difficulty in joining in community activities

  • How emotionally affected by health problems (response options for this item are 0=Not Affected, 1=Mildly Affected, 2=Moderately Affected, 3=Severely Affected, and 4=Extremely Affected)


Self-care
  • Difficulty in washing whole body

  • Difficulty in getting dressed


Getting along with people
  • Difficulty in dealing with people you do not know

  • Difficulty in maintaining a friendship


Number of days with difficulties
  • Overall, in the past 30 days, how many days were these difficulties present?

  • In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?

  • In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?

Bb

Return to usual activity
  • Return to normal life or usual activity (yes or no)

  • Return to work (yes or no)


Assistive devices
  • Currently using personal equipment, special adapted devices, and or physical modifications to home (yes or no)

  • Type of equipment used (mobility aids, hearing aids, visual aids, communication aids, cognitive aids, physical modifications, devices for performing tasks, other)

  • Need for assistive devices (yes or no)

Cc

Having equal opportunities as other people
  • Education (yes or no)

  • Employment (yes or no)

  • Recreation or leisure (yes or no)


Services and assistance barriersd
  • Experience problem with availability of transportation

  • Experience problem with availability of information

  • Experience problem with availability of health care services

  • Need for help at home and not getting it easily


Attitudes or support barriersd
  • Experience prejudice and discrimination


Work or school barriersd
  • Experience problem with people’s attitudes at school or work

  • Need help at school or work and did not get it easily


Policy barriersd
  • Experience difficulty due to government programs and policies


Physical environment barriersd
  • Experience difficulty with natural environment (temperature, terrain, climate, etc)

aVariables from World Health Organization Disability Assessment Survey 2.0 short form (module A). Response options: 0=No Difficulty, 1=Mild Difficulty, 2=Moderate Difficulty, 3=Severe Difficulty, 4=Extreme Difficulty or Cannot Do.

bVariables related to return to usual activities and assistive devices (module B).

cVariables from Craig Hospital Inventory of Environmental Factors (module C).

dResponse options: 4=Daily, 3=Weekly, 2=Monthly, 1=Less than Monthly, 0=Never, Not applicable.